39 cpc certified professional coder jobs found in Raleigh, NC

Coder II, InpatientThe Coder II, Inpatient is responsible for coding inpatient accounts with a balance less than $90,000 including Rehab and accounts that fall into the Inpatient Coder I category, performs the functions of coding, DRG assignment, collection of predefined indicators and abstracting medical records with a case mix greater than 1.5, provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Remains current with recognized resources - AHA Coding Clinic and Official Coding Guidelines. Groups discharges utilizing the 3M encoder selecting the appropriate DRG for reimbursement. Communicates with physicians and clinical staff regarding coding and documentation issues.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and...

Senior Coding SpecialistServes as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned.**Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.**Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOERegistered Health Information Technician Required - Or Registered...

Medical Coding SpecialistPerform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug within various coding systems. Manage end-to-end delivery of clinical data management coding responsibilities concurrently for single/multiple projects ensuring quality and timeliness. Provide leadership and mentorship to Medical Coding Specialists as needed. Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions.Responsibilities:Perform coding in accordance with study specific coding conventions as outlined in the Data Management Plan (DMP)Perform coding using MedDRA and WHO Drug of (eCRF) verbatim terms using various coding systemsProvide independent review of coded data by ensuring consistent code assignment within a project by reviewing coding and re-assignmentResponsible for medical coding review, synonym dictionaries review,...

We're building a world of health around every individual - shaping a more connected, convenient and compassionate health experience. At CVS Health®, you'll be surrounded by passionate colleagues who care deeply, innovate with purpose, hold ourselves accountable and prioritize safety and quality in everything we do. Join us and be part of something bigger - helping to simplify health care one person, one family and one community at a time. The Certified Professional Coder (CPC) will perform medical claim reviews for the Special Investigations Unit (SIU) to ensure compliance with coding practices through a comprehensive record review for medical, behavioral, transportation and other healthcare providers. The CPC must have the ability to determine correct coding and appropriate documentation during the review of medical records. The CPC must also ensure that the state, federal and company requirements are met and recognize any concerning billing patterns or trends. Conduct a...

Medical Coding Specialist Perform dictionary coding in accordance with study specific coding conventions using MedDRA and WHO Drug within various coding systems. Manage end-to-end delivery of clinical data management coding responsibilities concurrently for single/multiple projects ensuring quality and timeliness. Provide leadership and mentorship to Medical Coding Specialists as needed. Create, review, and maintain guidance and training documentation for coding guidelines an accordance with ICH guidance, official coding guidelines and dictionary definitions. Responsibilities: Perform coding in accordance with study specific coding conventions as outlined in the Data Management Plan (DMP) Perform coding using MedDRA and WHO Drug of (eCRF) verbatim terms using various coding systems Provide independent review of coded data by ensuring consistent code assignment within a project by reviewing coding and re-assignment Responsible for medical coding review, synonym dictionaries...

Fully Remote Lake Park Building Full time R180277 Job Description: The Med Grp Professional Billing (PB) Coder II is responsible for accurately resolving coding edits in assigned Epic WQ’s and assigning ICD-10, CPT, and HCPCS coding classifications and modifiers based on clinical documentation and/or physician orders. This role ensures the integrity of data for both internal and external reporting, maintains work queues within processing timeframes, responds to inquiries related to billing codes, and adheres to compliance guidelines. Essential Functions Evaluates and resolves all types of coding edits in assigned Charge Review, Claim Edit, and Follow-up work queues in Epic. Assigns ICD, CPT, and HCPCS coding classifications based on clinical documentation and/or physician orders. Accurately evaluates and resolves assigned coding edits in Charge Review, Claim Edit, and Follow-up work queues in Epic within assigned timeframes. Appropriately...

Overview Make a Difference. Grow in Your Career. Thrive with Us. About the Role At Mindpath Health , we’re on a mission to make mental health care more accessible and more human. As a national leader in mental health services, we empower our clinicians, support our teams, and prioritize care that helps people truly thrive. The Certified Professional Coder (CPC) is responsible for performing professional coding services for theRCM Team, while following AMA and CMS medical coding guidelines . The primary function of thisposition is to utilize CPT, ICD-10-CM, HCPCS and coding guidelines to ensure accurate coding asrelates to medical documentation. A Certified Professional Coder will provide research and assist inresolving rejections, denials, and any coding/carrier related inquiries. This role reviews, analyzes, andcodes diagnostic and procedural information that determines Medicare, Medicaid, and private insurancepayments. The Certified Professional Coder must work to remain up to...

UNC Health in Chapel Hill, NC, seeks a detail-oriented coder to review, abstract, and assign CPT/HCPCS/ICD-10 codes for professional services. You will work remotely with the HIM Hospital Coding team, ensuring compliance with state and federal regulations and accurate reimbursements. Two years hospital coding experience and AHIMA or AAPC credentials preferred; requires High School diploma or GED and completion of UNC HCS IP Coder Proficiency Test. #J-18808-Ljbffr

Overview Serves as the senior member of the corporate coding team by providing extensive knowledge for timely and accurate coding and DRG assignment. Performs the function of coding, DRG assignment, collection of predefined indicators, and abstracting medical records. Provides timely and accurate ICD-10-CM and ICD-10-PCS codes for reimbursement and specific information for statistical purposes. Serves as a liaison between coders and CDS team on coding and documentation issues. Reviews SMART accounts on a daily basis as assigned. **Eligible remote states include NC, FL, GA, SC, SD, TN, TX and VA.** Department Description Serving the community since 1961, WakeMed Health & Hospitals is the leading provider of health services in Wake County. With a mission to improve the health and well-being of our community, we are committed to providing outstanding and compassionate care. For more information, visit www.wakemed.org. EOE Licensure Registered Health...

Affiliated Podiatrists in Raleigh, NC is seeking a Regional Coding Specialist to carefully review charge tickets, patient charts, and supporting documentation to ensure codes are accurate, complete, and properly sequenced according to government regulations and payer requirements. You will assign missing CPT, HCPCS, ICD-10-CM codes, follow up with physicians on unclear documentation, and maintain coding records while meeting daily production and quality standards. #J-18808-Ljbffr

Datavant is the data collaboration platform trusted for healthcare. Guided by our mission to make the world's health data secure, accessible and actionable, we provide critical data solutions for organizations across the healthcare ecosystem - including providers, health plans, researchers, and life sciences companies. From fulfilling a single patient's request for their medical records to powering the AI revolution in healthcare, Datavanters are building the future of how data is connected and used to improve health. By joining Datavant today, you're stepping onto a driven and highly collaborative team that is passionate about creating transformative change in healthcare. What We're Looking For We're looking for experienced and credentialed inpatient coders to become an integral part of our team. The ideal candidate for this role possesses high attention to detail and a depth of knowledge in medical terminology. This role is fully remote with a flexible schedule, allowing...

BayCare is currently in search of our newest Team Member who is passionate about providing outstanding customer service to our community. We are looking for an individual seeking a career opportunity with one of the largest employers within the Tampa Bay area. Position Details Location: Remote (must reside in the state of Florida, Georgia, North Carolina, or South Carolina) Status: PRN (as needed, non-benefit eligible) Shift: Flexible Days: Tuesday - Saturday OR Sunday - Thursday The Medical Records Outpatient Coder III will work remotely on a PRN (non-benefit eligible) basis. Responsibilities The Medical Records Outpatient Coder III reviews short stay focused encounters to accurately assign diagnosis and procedural codes-using ICD-10-CM and CPT-4 coding systems. Works in conjunction with various departments for missing documentation and monitors bill hold reports. Strong utilization of medical terminology and anatomy. Assists Manager/Director with mentoring/training of...

Become a part of our caring community Code Edit Disputes team reviews and educates providers when there is a dispute on adjudicated claims that contain a code editing related denial or financial recovery. The Medical Coding Coordinator performs advanced administrative, operational, and customer support duties that require independent initiative and judgment. May apply intermediate mathematical skills. Where you Come In The Medical Coding Coordinator extracts clinical information from a variety of medical records and assigns appropriate procedural terminology and medical codes (e.g., ICD-10-CM, CPT) to patient records. Analyzes, enters and manipulates database. Responds to or clarifies internal requests for medical information. Decisions typically focus on methods, tactics and processes for completing administrative tasks/projects. Regularly exercises discretion and judgment in prioritizing requests and interpreting and adapting procedures, processes and techniques, and...

Company : Allegheny Health Network Job Description : GENERAL OVERVIEW: This job performs thorough medical record review to abstract medical and demographic data, interpret and apply diagnoses and procedures utilizing ICD and CPT coding systems and assists in decreasing the average accounts receivable days. ESSENTIAL RESPONSIBILITIES Reviews and interprets medical information, physician treatment plans, course, and outcome to determine appropriate ICD-10 CM/CPT codes for diagnoses and procedures. (65%) Abstracts data elements to satisfy statistical requests by the hospital, health system, medical staff, etc. and enters all coded/abstracted information into designated system. (15%) Ensures efficient management of medical information and cash flow as it pertains to the unbilled coding report. (10%) Keeps informed of the changes/updates in ICD-10 CM/CPT guidelines by attending appropriate training, reviewing coding clinics and other resources...

A leading healthcare provider is seeking a skilled Medical Records Outpatient Coder III. This remote position requires expertise in coding for emergency, same day surgery, and observation cases. The ideal candidate has a CCS certification and 5 years of outpatient coding experience. Flexible shifts are available, with the role focusing on accurate code assignment and collaboration across teams. Join us in a dynamic healthcare environment that values teamwork and excellence. #J-18808-Ljbffr

A healthcare organization seeks an Oncology Data Specialist for remote work focusing on cancer data abstraction and coding. The role requires a minimum of one year in a Cancer Registry position, adaptability to a changing work environment, and knowledge of coding in cancer registry software such as EPIC and CRStar. Ideal candidates will possess an Associate or Bachelor degree in an accredited program. #J-18808-Ljbffr

RCS Medical Coding Auditor page is loaded## RCS Medical Coding Auditorremote type: Hybridlocations: Raleigh, NCtime type: Full timeposted on: Posted 7 Days Agojob requisition id: JR10360**Position Summary**The **RCS Medical Coding Auditor** is responsible for auditing professional (ProFee) medical coding to ensure accuracy, compliance, and alignment with AMA CPT, CMS, NCCI and payer guidelines. This role supports coding integrity, mitigates compliance risk, and drives continuous quality improvement through targeted education and audit-based feedback.The ideal candidate brings strong hands-on experience with **professional fee coding**, deep knowledge of **E/M, surgical, and modifier use**, and the ability to translate audit findings into actionable insights.**Key Responsibilities*** Perform daily QA to ensure accuracy of completed coding and provide targeted coding education and feedback* Validate ICD‐10‐CM, CPT(R), HCPCS, and modifier assignment against clinical documentation to...

Medical Coding SpecialistAtlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina.Essential FunctionsPost medical charges into NextGen software in a timely manner to meet daily and monthly goals.Reviews and verifies documentation supports diagnoses, procedures, and treatment results.Identifies diagnostic and procedural information and assigns codes for reimbursementsAbility to navigate around CPT, ICD-10, and HCPCS.Work with providers to correct the diagnosis or procedure codes so that the claim can be processed.Identify coding or billing problems from EOBs and work...

Medical Coding Specialist Atlantic Medical Management is currently hiring for professional Medical Coding Specialist who is goal oriented, revenue driven, highly accurate and motivated. This position includes collecting reimbursements by gathering, coding, and transmitting patient care information; resolving discrepancies; adjusting patient bills; working AR and preparing reports. Must have ProFee coding and billing experience. This is a remote position and candidates must be located in North Carolina. Essential Functions Post medical charges into NextGen software in a timely manner to meet daily and monthly goals. Reviews and verifies documentation supports diagnoses, procedures, and treatment results. Identifies diagnostic and procedural information and assigns codes for reimbursements Ability to navigate around CPT, ICD-10, and HCPCS. Work with providers to correct the diagnosis or procedure codes so that the claim can be processed. Identify coding or billing...

Revenue Cycle Support SpecialistAt Applied Medical Systems (AMS), we've spent over 45 years helping healthcare providers thrive through expert medical billing, coding, and practice management. We're looking for a Revenue Cycle Support Specialist who thrives in complexity, works well independently, and is driven to find solutions—not wait for them.What You'll DoResponsible for accurately correcting coding related edits and for billing in Epic.Responsible for abstracting operative reports in 3M and/or Epic.Ensure timely completion of patient accounts to meet established department standards and/or goals.Maintains 95% accuracy or greater in accordance with department standards.Advanced knowledge of medical coding rules and regulations to include, but not limited to, compliance, payer policy, CMS regulation and CCIAttends meetings as required.Is respectful and courteous to all people, including coworkers and clients.Able to work independently as the job is remote.Excellent written and...

Duke HomeCare & Hospice Medical Records Coder IIAt Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together.Pursue your passion for caring with Duke HomeCare & Hospice, which offers hospice, home health, and infusion services across the region, as well as serves as the home for the Duke Caregiver Support Program. Team members work closely with a patient's physician to provide comprehensive, individualized care in the comfort of their home or at our inpatient hospice facility in Durham, NC.Must reside within two hours of office. Please note: All Duke medical coding opportunities require candidates to have a North Carolina address as a condition of employment.Job SummaryThe Duke HomeCare & Hospice Medical Records Coder II is a certified Coder, responsible for coding activities for the home health...

Select how often (in days) to receive an alert: Select how often (in days) to receive an alert: At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. This position is 100% remote. All Duke University remote workers must reside in one of the following states: North Carolina, Virginia, South Carolina, Tennessee, Florida, and Texas. Occ Summary The Medical Records Coder II is a certified Coder. Coordinate/review...

Overview At Duke Health, we're driven by a commitment to compassionate care that changes the lives of patients, their loved ones, and the greater community. No matter where your talents lie, join us and discover how we can advance health together. About Duke Health's Patient Revenue Management Organization Pursue your passion for caring with the Patient Revenue Management Organization, which is Duke Health's fully integrated, centralized revenue cycle organization that supports the entire health system in streamlining the revenue cycle. This includes scheduling, registration, coding, billing, and other essential revenue functions. OCC Summary The Medical Records Coder II is a certified Coder. Coordinate/review the work of subordinate employees and assist with the training and continuing education programs. Code medical records utilizing ICD-10-CM and CPT-4 coding conventions. Review the medical record to assure specificity of diagnoses, procedures and appropriate/optimal...

Duke Health is seeking a Medical Records Coder II to code medical records using ICD-10-CM and CPT-4 conventions. The role involves coordinating staff, auditing work, and supporting continuing education in coding. A RHIA/RHIT/CCS/CPC/HCS-D certification and a high school diploma are required, with experience expectations listed in the posting. You will work remotely with Duke Health, supporting hospital and professional charge reimbursement; ongoing education and DRG/APC assignment accuracy are #J-18808-Ljbffr